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个性化医疗与阿尔茨海默病治疗的重生希望:基于GSK-3β抑制剂的模块化方法

Personalized Medicine and Resurrected Hopes for the Management of Alzheimer's Disease: A Modular Approach Based on GSK-3β Inhibitors.

作者信息

Arafa Reem K, Elghazawy Nehal H

机构信息

Zewail City of Science and Technology, Cairo, 12588, Egypt.

出版信息

Adv Exp Med Biol. 2017;1007:199-224. doi: 10.1007/978-3-319-60733-7_11.

Abstract

Alzheimer's disease (AD) is one of the most common neurological disorders with vast reaching worldwide prevalence. Research attempts to decipher what's happening to the human mind have shown that pathogenesis of AD is associated with misfolded protein intermediates displaying tertiary structure conformational changes eventually leading to forming large polymers of unwanted aggregates. The two hallmarks of AD pathological protein aggregates are extraneuronal β-amyloid (Aβ) based senile plaques and intraneuronal neurofibrillary tangles (NFTs). As such, AD is categorized as a protein misfolding neurodegenerative disease (PMND) . Therapeutic interventions interfering with the formation of these protein aggregates have been widely explored as potential pathways for thwarting AD progression. One such tactic is modulating the function of enzymes involved in the metabolic pathways leading to formation of these misfolded protein aggregates. Much evidence has shown that glycogen synthase kinase-3β (GSK-3β) plays a key role in hyperphosphorylation of tau protein leading eventually to its aggregation to form NFTs. Data presented hereby will display a plethora of information as to how to interfere with progression of AD through the route of GSK-3β activity control.

摘要

阿尔茨海默病(AD)是最常见的神经疾病之一,在全球范围内广泛流行。对人类大脑活动的研究表明,AD的发病机制与错误折叠的蛋白质中间体有关,这些中间体呈现三级结构构象变化,最终导致形成大量不需要的聚集体聚合物。AD病理性蛋白质聚集体的两个标志是细胞外基于β-淀粉样蛋白(Aβ)的老年斑和细胞内神经原纤维缠结(NFTs)。因此,AD被归类为蛋白质错误折叠神经退行性疾病(PMND)。干扰这些蛋白质聚集体形成的治疗干预措施已被广泛探索,作为阻止AD进展的潜在途径。一种这样的策略是调节参与导致这些错误折叠蛋白质聚集体形成的代谢途径的酶的功能。许多证据表明,糖原合酶激酶-3β(GSK-3β)在tau蛋白的过度磷酸化中起关键作用,最终导致其聚集形成NFTs。本文提供的数据将展示大量关于如何通过控制GSK-3β活性来干扰AD进展的信息。

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